Xinjiang national health check-up： covering the last mile and benefiting the farthest family

　　Xinhua News Agency, Urumqi, February 7th Title: Xinjiang national health check-up: covering the last mile and benefiting the farthest family

　　Xinhua News Agency reporter Hao Yu, Pan Ying

　　"Fortunately, it was discovered early, otherwise a minor illness would be dragged into a major illness." Yeseni Bahasi, an old man from Bai Yang River Township, Midong District, Urumqi, Xinjiang, was found to have kidney disease in the free national health examination. His family doctor will take him to the township health center for further examination and treatment in a few days.

　　Since the first round of national health check-up project was launched in Xinjiang in 2016, Xinjiang urban and rural residents can enjoy a free medical check-up once a year. Up to now, Xinjiang has invested about 3 billion yuan in medical examination, which has brought health and benefits to 36.34 million people.

　　Pay attention to grass-roots coverage of the last mile

　　From beginning of spring to the afternoon, the sun shines through the screen window into the B-ultrasound room of the physical examination center of the township health center in Boshikremu, Kashgar. The room is not big, with green orchids on the windowsill and elegant plaid mats on the soft sofa. If it is not a B-ultrasound machine, it is difficult to connect the warm scene here with the physical examination center.

　　In August last year, in order to better carry out the national health check-up, the township health center in Boshikremu built a national health check-up center, which not only purchased a number of medical equipment such as semi-automatic biochemical instruments, B-ultrasound machines and X-ray machines, but also worked hard in the physical examination environment. The villagers praised it as "more comfortable than home".

　　The infrastructure conditions in Boshikremu Township, located in the western part of the motherland, are weak. In the words of Mohammad Aili Abulizi, director of the outpatient department, "Without equipment, physical examination is like a blind man touching an elephant, and we can only rely on experience."

　　Last year, the physical examination center purchased a batch of large-scale physical examination equipment, with more than 120 kinds of examination items, and the efficiency of physical examination increased from five or six people to nearly 200 people every day.

　　Aili Abulizi, Mohammad, said that there are not a few local people suffering from tuberculosis. With these devices, more than 100 people were found and controlled in advance last year alone.

　　In order to ensure that the national health check-up covers the last mile, since 2016, Xinjiang has set up more than 1,100 national health check-up points, and 36,400 medical technicians have participated in the service. All localities also raised funds to purchase 1,220 sets of medical examination equipment such as color Doppler ultrasound machines, automatic biochemical analyzers and DR machines, focusing on the basic medical and health institutions in the four prefectures of southern Xinjiang to ensure that the necessary medical examination equipment at each medical examination point is basically complete.

　　On-site service benefits the farthest family.

　　For Dordan in Erdaoshui Village, Achery Township, changji city, "family doctor" is a new word on the Internet. Unexpectedly, this new word came into his life last year and was closely linked with his health.

　　A few days ago, Dordan suddenly felt dizzy and chest tightness in the morning, so he immediately called his family doctor Ma Shengjun. At Dordan’s home, Ma Shengjun measured his blood pressure and found that it was on the high side, suggesting that he go to the township health center for further examination. After examination, Dordan’s blood pressure increased due to irregular diet and overeating, which caused dizziness.

　　"Thanks to the family doctor, there is an emergency and you can get help in time without going out." Dordan said.

　　There are elderly people in the family who can’t get out of bed because of illness, and doctors come to the house for physical examination; Patients should be sent to a large hospital for emergency treatment, and doctors can help them to refer them quickly through the "green channel" … … Whether in rural or urban communities, more and more people enjoy the intimate health services of family doctors.

　　Peng Yong, deputy director of the Health and Family Planning Commission of Xinjiang Uygur Autonomous Region, said that since 2017, Xinjiang has connected basic public health services with basic medical services, so that family doctors will give priority to the elderly, pregnant women and other people, and for special groups such as the elderly and the disabled with limited mobility, family doctors will conduct physical examinations by means of on-site services.

　　In the past year, 14 prefectures and cities in Xinjiang carried out the contract service of family doctors in an all-round way, and set up 7037 teams of family doctors. The contract rate of key groups such as the elderly and pregnant women was 49.75%, and the contract service rate of poor people was 35.4%.

　　Wisdom medical treatment limin convenience less queuing

　　Zhang Yuan, a 75-year-old man, used to be most afraid of physical examination — — "There are many people waiting in line for a long time, which is too much for the elderly." Not long ago, at the First Physical Examination Center in Kashgar City, after Zhang Yuan submitted his ID card, the staff entered the information through the computer and got the physical examination guide, so the elderly could start the physical examination. In just over 40 minutes, Zhang Yuan completed 13 kinds of national health check-up items, and the "speed-up" of physical examination surprised him.

　　Li Hongtao, a cadre of aiding Xinjiang in Shenzhen and deputy director of the Kashgar Municipal Health Planning Commission, said that there is a barcode of the medical examination number on the guide sheet, and each medical examination result is uploaded to the information platform through barcode scanning, corresponding to the file entry, realizing the "border inspection and recording".

　　In order to make the free physical examination both beneficial to the people and convenient for the people, in March last year, Kashgar developed a health physical examination management information system, and by building an information platform, it took the lead in realizing the synchronization of check-in in four southern Xinjiang States. Residents’ physical examination information can be automatically transmitted to the electronic health record platform in real time without manual secondary entry. At the same time, 15 grassroots medical and health institutions and 2 physical examination centers have been set up in the local area to rationally divert the physical examination people.

　　Shao Rong, director of the First Physical Examination Center of Kashgar City, said: "In the past, 12 physical examination sheets were condensed into one guide sheet, and up to 600 people could be examined a day, which nearly doubled the efficiency compared with last year."

　　Since June 2017, the second round of national health check-up in Xinjiang has begun, and the newly invested information platform has made it easier and faster for patients to check up. In addition, Xinjiang has also launched a "smart medical" convenience service platform, which has now covered 10 prefectures and cities in the region. After the people of all ethnic groups complete the physical examination, they don’t have to wait for all the physical examination results. Through this platform, they can check the physical examination data of individuals and their families at any time.